To study the impact of prehospital management duration by SMUR teams in the Essonne department (91) on early patient mortality (within 24 hours) and to analyze the procedures performed on scene.
The study hypothesis is that all-cause in-hospital mortality may be associated with the duration of prehospital care, with either a beneficial impact related to the performance of life-saving interventions or a negative impact due to prolonged time to access definitive treatment.
Identifying potential factors associated with prolonged prehospital management times could help define possible areas for improvement and future interventions.
Age ≥ 15 years (upper age limit for the pediatric population)
Severe trauma, defined as any road traffic accident, defenestration, fall from a height greater than 3 meters, stab wound, or ballistic injury requiring medically supervised transport to one of the Level 1 trauma centers in the Île-de-France region
Prehospital management provided by one of the SMUR teams in the Essonne department (91)
Patients declared dead at initial medical contact, without resuscitation initiated, or with resuscitation attempted and subsequently discontinued (non-return of spontaneous circulation)
Secondary inter-hospital transfer from another hospital to a Level 1 trauma center
Transport to a hospital for local computed tomography imaging only (without direct admission to a Level 1 trauma center)
Cases regulated (dispatched) by emergency coordination centers other than the Essonne (91) medical dispatch center
Patients managed prehospital by a SMUR team from the Essonne department (91) and transported to a Level 1 trauma center according to the predefined inclusion criteria
Cohort
Retrospective
Not listed
Mortality
All-cause in-hospital mortality within 24 hours
Length of hospital stay and neurological outcome
Total duration of hospital stay (in days) and neurological outcome at hospital discharge.
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